National Certificate in Barbering Level 3

Qualification by Experience Agreement

Page 1

Dont keep your experience a secret!

Congratulations on your decision to have your barbering skills recognised towards gaining the National Certificate in Barbering . This process has no time frame. However, we have an enthusiastic team to help you gain your qualification in the shortest time frame possible. The steps outlined in this application are a guide to how this process will work for you. Please contact the Quality Assurance Administrator, HITO National Office on (04) 499 1180.

Qualification by Experience at a glance

To help keep things nice and simple, we have created a small chart that should help you understand the process.

You will
Complete this application and send it to HITO with the fee and supporting information Complete any workbook and any additional requirements e.g. first aid and health and safety

HITO will

Evaluate your application and notify you of your next steps

Evaluate generic material, register credits and set up an interview

Meet with an industry assessor to discuss knowledge or demonstrate practical skills

Send a letter confirming the outcome of the interview/ practical demonstration

Follow the steps outlined to complete the qualification

Arrange for the final assessment

Complete the final demonstration

Issue the National Certificate when all units are completed and paid for

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National Certificate in Barbering Level 3

Qualification By Experience Agreement

Page 2

Your Personal Details

First names Current surname Permanent Address Post Code Home Phone E-mail Address Date of Birth
d d

Cellphone

NZQA Number
(NSI or NSN)

Gender Ethnic Group

Male Maori Yes

Female Pasifika No Employer

NZ Residential Status NZ Pakeha European

Citizen Other

Permanent Resident

Is English your second language? What is your employment status

Do you have a disability that will affect learning? Employee

Yes

No

Your Previous Education

Last school attended was What year did you finish?
y y y y

What is your highest qualification?

NCEA Level 1 Diploma

NCEA Level 2 Trade

NCEA Level 3 Degree Higher

Your Salon/Barbershop Details

Business Name Business Address Post Code Business Phone E-mail Address Cellphone

If you are an employee, you must have a signed employment agreement. Do you have one?

Yes

No

Your Employers Details

Only complete this section if you are an employee.
Employers Name

Employers Signature

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National Certificate in Barbering Level 3

Qualification By Experience Agreement

Page 3

Your History Details

Please complete the following history details If you did an apprenticeship, how far did you get? If you completed part of your trade qual, how far did you get Did you complete your trade certificate practical? What unit standards have you completed?

What other qualifications have you completed? How many years have you served in the industry? Why are you applying for qualification by experience?

Your Qualification History

Please list your qualification history in barbering or other relevant positions. Please use another piece of paper if needed. If you have printed qualification materials that outline the details of the qualification, you may attach those to this application.

Name of qualification

Length of course

Date received

Awarding authority

List of course content

........................................................................................................................................................................................................................................................ ..................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................................

During your course did you complete the following? Scissor over comb? Clipper over comb? Razor over comb? Wet shaving? Beard Shaping? Yes Yes Yes Yes Yes No No No No No

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National Certificate in Barbering Level 3

Qualification By Experience Agreement

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Your Employment History

Please list your employment history in barbering or other relevant positions. Please use another piece of paper if needed.

Date

Employer

Role/responsibilities

................................................................................................................................................................................................................................................................................................................................................. ................ ................................................................................................................................................................................................................................................................................................................................................. .............. ................................................................................................................................................................................................................................................................................................................................................. ................ ................................................................................................................................................................................................................................................................................................................................................. ................ ................................................................................................................................................................................................................................................................................................................................................. .............. ................................................................................................................................................................................................................................................................................................................................................. .............

Your Experience
Please identify the approximate number of times you have given the following services in the last two years (please tick one). Scissor over comb? Clipper over comb? Razor over comb? Wet shaving? Beard shaping? 0 0 0 0 0 1-5 1-5 1-5 1-5 1-5 6-20 6-20 6-20 6-20 6-20 Too many to count Too many to count Too many to count Too many to count Too many to count

Courses and seminars you have attended

Please list all courses/seminars you have attended in the last five years. Please include copies of certificates. Courses/seminars Year

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Qualification By Experience Agreement

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Further Information
Please use this space to provide any other information that may be helpful for us when evaluating your application.

Your Referees
Where possible please provide the names and contact details of two professional/qualified referees who can confirm your hairdressing skills and verify your employment records. You may also wish to include copies of any references that support your application. Name and address of referee Contact number

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National Certificate in Barbering Level 3

Qualification by Experience
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Fees
Application Fee NZQA Credit Fees Interview and/or practical session The final assessment Unit Standard 10650 $200 $2 $65 $285 $585 per credit (there are up to 314 credits within the qualification) per hour + any travel and accommodation incurred by the assessor (if you are an employee) or (if you are an employer)

Please note that during the process, credit fees will be payable for all unit standards awarded. The units are awarded over a period of time allowing you to pay the fees gradually. All fees are therefore non-refundable. However,. if your employment status changes, please let us know as this may affect your fees.

Payments
All appropriate fees must be paid. You may pay by cheque (payable to HITO) or by direct credit at WESTPAC BANK 03-0502-0096479-00. If paying by direct credit please ensure that the reference for the transaction is QBYE and your NSI number.

Document Checklist & ID Proofs

Please ensure that where possible you include the following documentation or explain in writing why it is not possible to provide some of all of it. Please tick the box to help ensure that you are ready to post your application. The government also require that HITO has a copy of documents that prove your identity. Please tick which documents you have enclosed. ESSENTIAL ESSENTIAL ESSENTIAL ESSENTIAL ESSENTIAL ESSENTIAL ESSENTIAL ESSENTIAL Application fee Copies of qualifications or units achieved/apprenticeship papers Copy of course content for overseas candidates Course or seminar certificates References Summary of work history details (including a CV) Copy of your NZ Birth Certificate or passport (certified by your employer or HITO SLM) Confirmation of NZ Residency/Citizenship

Legal Declaration and Signatures

Applicant Signature

I acknowledge that I have read and understood the provisions of this Agreement. I also confirm that I have provided the necessary documentation confirming my eligibility in New Zealand and that the information provided is true and accurate.
d d

Now Please Post to your HITO office at either:

UPPER NORTH ISLAND LOWER NORTH ISLAND SOUTH ISLAND HITO SLM Signature HITO, PO Box 11 921, Ellerslie, Auckland 1542 HITO, PO Box 11 764, Central Office, Wellington 6142 HITO, PO Box 1575, Christchurch 8140
d d

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Employer and Trainee

Agreement to be a Member of HITO

pg 1 If you do not want to be a member of HITO, please do not complete this section.
EMPLOYER MEMBERS An organisation that employs or contracts one or more persons to provide barbering, beauty and/or hairdressing services, OR a person who is a sole business operator and provides such services (e.g. local hairdressing salon). RENEWALS Once you join HITO, your membership will automatically renew if you employ someone in a training agreement. TRAINEE MEMBERS An individual who has entered into a HITO Training Agreement with HITO and who wishes to be a member of HITO.

RENEWALS Once you join HITO, your membership will automatically renew for as long as you are still in a training agreement.

A. Complete this section to become an Employer Member

If you are already a current member of HITO, you dont need to complete this section. I do not wish to receive any of the following information: (Please refer to paragraph 6 of the Membership Declaration) Information and activities relating to HITO. Information about products & services of sponsors/funders of HITO. Membership Declaration : I have read and understand this Membership Agreement and the Membership Declaration (over page) Signature
d d

B. Complete this section to become a Trainee Member

I do not wish to receive any of the following information: (Please refer to paragraph 6 of the Membership Declaration) Information and activities relating to HITO. Information about the products and services of sponsors or funders of HITO. Membership Declaration : I have read and understand this Membership Agreement and the Membership Declaration (over page) Signature
d d

Consent for under 18 Year Old Applicants (please complete if employer or trainee is under 18 years)
I am the parent / guardian / caregiver of the employer/trainee who is under 18 years of age. I have read and understood the attached Membership Declaration and I consent to the Membership Agreement of the employer/trainee on the basis set out in this Membership Agreement and Membership Declaration. I also consent to my name and contact details, as detailed below, being collected, held, and used, as the parent / guardian / caregiver of the employer/trainee in accordance with the purposes set out in paragraph 6 of the Membership Declaration, or, for contacting me in case of an emergency involving the employer/trainee. Parent
First Name Last Name Home Address Post Code Home Phone Email Address Cellphone

Guardian

Caregiver

Other (please specify)

Signature

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DOCUMENT REF : VERsiON 1 TRaiNiNg agREEMENT MEMbERship FORM

Employer & Trainee

Membership Declaration
pg 2
1. DECLARATION I declare that I have authority to complete and sign this Membership Agreement and that all information supplied in this Membership Agreement is true and correct. If any of this information changes, I acknowledge that I will notify HITO of the changes, in writing, as soon as possible after they occur. If any of the information I have provided is not true or is misleading, I acknowledge that my membership may be terminated at the discretion of HITO. 2. TERMINATION I understand: a. I may resign from my membership in accordance with the HITO Constitution. b. HITO may terminate my membership in accordance with the HITO Constitution. c. If my HITO Training Agreement is terminated by HITO my membership also terminates. d. If I am a Trainee Member and my HITO Training Agreement is terminated by my employer my membership also terminates. e. If I am an Employer Member and I terminate my HITO Training Agreement my membership does not terminate but if I no longer have any trainees I may have to pay a membership fee to HITO. 3. BOUND BY RULES I will be bound by the HITO Constitution, Regulations, policies, manuals, and reasonable directions of HITO. 4. NO LIABILITY I will not hold HITO, or its respective officers or employees, responsible for any claims, losses, expenses and costs (including legal costs) which may arise from or in connection with, my membership except in the case of gross negligence or a wilful act or omission on the part of HITO. 5. INDEMNITY I indemnify HITO, and its respective officers or employees, from all claims, losses and expenses (including legal costs) suffered or incurred at any time as a result of, or resulting directly or indirectly from, my failure to observe the HITO Constitution, Regulations, policies, manuals, guidelines and reasonable directions of HITO. 6.PRIVACY I agree that HITO, and its respective officers or employees, can collect, hold, use and disclose my personal information as provided in this Membership Agreement (and any updated or additional personal information HITO obtains from me whilst a Member, including any photo or other record of my image) for the purposes of: a. processing my application for membership including notifying HITO of the information on this form so HITO can compile a register of members, compile a national database of members (accessible only in accordance with the Constitution and Regulations of HITO), and request me to renew if my membership lapses; b. including my photograph or other imagery on the HITO website, in newsletters, annual reports, or similar official publications; c. if I agree (by not ticking the appropriate box in this Membership Agreement), providing me with information and activities relating to HITO; d. if I agree, (by not ticking the appropriate box in this Membership Agreement), enabling HITO to contact me with information about the products and services of sponsors or funders of HITO; e. enabling HITO to comply with any statute, regulation, by-law or other regulatory instrument that requires collection or disclosure of personal information; f. retaining the information provided on this form (as an inactive member) if my membership lapses for a maximum period of 3 years for the above purposes; and g. any other purpose I agree to in writing. 7. USE, SECURITY & ACCESS I understand that my personal information will only be used for the purposes listed in paragraph 6 above and in accordance with the HITO Constitution and Regulations, and that, in accordance with the Privacy Act 1993: a. my personal information will be held securely; b. I will have access to my personal information; and c. my personal information will be corrected upon request. 8.CONTINUED MEMBERSHIP I understand that upon payment of my membership fee(s) (if any), if I am accepted to membership, I will become a member of HITO and that by paying such fee(s) and renewing my membership by the due date provided in each annual renewal invoice, I will continue to be a member of HITO for the duration of my membership as specified in accordance with the Constitution unless I resign or my membership is terminated. While I am in a training agreement, my membership will be renewed annually and no fee will be charged. 9.INTERPRETATION Every reference to I and my in this document includes the applicant and the parent/guardian/caregiver of the applicant (if applicable). All definitions in this document have the same meaning as set out in the HITO Constitution.

A copy of the HITO Constitution is available on the HITO website www.hito.org.nz/members For additional information please contact: HITO Members, PO Box 11764 Wellington 6011, New Zealand Ph: 04 499 1180 Fx: 04 499 3950 Em: members@hito.org.nz
aLL pRiCEs iNCLUDE gsT DOCUMENT REF : VERsiON 1 TRaiNiNg agREEMENT MEMbERship FORM